AGELESS MEN'S HEALTH HOLDINGS, LLC (NPI# 1700212602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700212602 |
| Entity Type | Organization |
| Organization Name | AGELESS MEN'S HEALTH HOLDINGS, LLC |
| Other Organization Name | AGELESS MEN'S HEALTH |
| Practice Address |
1307 Butterfield Rd Ste 420 Downers Grove IL 60515 |
| Mailing Address |
1307 Butterfield Rd Ste 420 Downers Grove IL 60515-5623 |
| Practice Telephone | 9017573643 |
| Practice Fax Number | 9017577762 |
| Mailing Telephone | 9017573643 |
| Mailing Fax Number | 9017577762 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2018-08-10 |
| Authorized Official Name | MRS. MELISS C MCCLELLAN (VP OF BUSINESS OPERATIONS) |
| Authorized Official Telephone | 9017573643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Ageless Men's Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2901 Finley Rd, Suite 103, Downers Grove, IL 605151041 | 9017573643 | 9017577762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1346678729 | Ageless Men's Health Holdings, LLC | Specialist | 326 Saint Paul St, Denver, CO 80206-4335 | 2013-10-23 |
| 1205314317 | Ageless Men's Health Holdings, LLC | Family Medicine | 27600 Chagrin Blvd Ste 140, Woodmere, OH 44122-4498 | 2018-07-31 |
| 1558800144 | Ageless Men's Health Holdings, LLC | Specialist | 155 E Sonterra Blvd, Suite 101, San Antonio, TX 78258-3987 | 2017-02-16 |
| 1538595434 | Ageless Men's Health Holdings, LLC | Specialist | 111 W Washington St, Suite 901, Chicago, IL 60602-2703 | 2013-09-24 |
| 1053759894 | Ageless Men's Health Holdings, LLC | Specialist | 20403 University Blvd, Suite 200, Sugar Land, TX 77478-4976 | 2013-06-13 |
| Street Address |
1307 BUTTERFIELD RD STE 420 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699070243 | Lisa Lindt | Specialist | 935 Burlington Ave Unit 308, Downers Grove, IL 60515-4794 | 2011-01-12 |
| 1164667101 | Robert Arthur Mcguffin Jr. | Specialist | 1160 Mistwood Ln, #3, Downers Grove, IL 60515-1285 | 2008-12-04 |
| 1174693378 | Christine M Ekis | Specialist | 2777 Finley Rd Ste 27, Downers Grove, IL 60515-1037 | 2006-11-08 |
| 1073691135 | Allied Alpha Assistants, Inc | Specialist | 6330 Belmont Rd, Unit 5, Downers Grove, IL 60516-2106 | 2006-11-02 |
| 1114008398 | Drs Senica & Bruneau Ltd | Specialist | 5207 Main Street, Downers Grove, IL 60515 | 2006-10-17 |
| 1720187438 | Vipal Kumar Arora | Specialist | 3825 S. Highland Ave, Sutie 5j, Downers Grove, IL 60515 | 2006-09-21 |
| 1144225319 | Stephen Sanofsky | Specialist | 2001 Butterfield Rd, Suite 100, Downers Grove, IL 60515-1050 | 2005-06-15 |
| 1467456186 | Mani Akkineni | Specialist | 3825 Highland Ave, Tower 1 Suite 2f, Downers Grove, IL 60515-1548 | 2005-06-10 |
| 1750919155 | Chicagoland Surgical Assistants Inc. | Specialist | 6330 Belmont Rd Ste 5, Downers Grove, IL 60516-2126 | 2020-03-31 |
| 1437413978 | Hisham Greiss | Specialist | 8635 Lemont Rd, Downers Grove, IL 60516-4805 | 2012-06-29 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.